Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.93 / $5,411.00 / $12,466.00	Facility		$1,247.93	$5,411.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.97 / $1,247.93 / $2,167.85	Professional		$864.97	$1,247.93	$2,167.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.95 / $1,031.31 / $2,363.02	Professional		$788.95	$1,031.31	$2,363.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,378.95 / $1,378.95 / $37,499.62	Facility		$1,378.95	$1,378.95	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,378.95 / $1,378.95 / $1,378.95	Professional		$1,378.95	$1,378.95	$1,378.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,136.58 / $1,136.58 / $7,227.90	Facility		$1,136.58	$1,136.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.28 / $1,654.43 / $3,535.37	Professional		$958.28	$1,654.43	$3,535.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,707.32 / $3,273.60	Facility		$319.00	$1,707.32	$3,273.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.29 / $1,352.79 / $2,024.52	Professional		$1,162.29	$1,352.79	$2,024.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.81 / $1,144.11 / $1,831.70	Professional		$812.81	$1,144.11	$1,831.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,136.58 / $7,227.90	Facility		$555.00	$1,136.58	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,017.53 / $1,766.33 / $3,535.37	Professional		$1,017.53	$1,766.33	$3,535.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.61 / $1,343.47 / $2,778.62	Professional		$979.61	$1,343.47	$2,778.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,144.11 / $1,144.11 / $3,050.17	Facility		$1,144.11	$1,144.11	$3,050.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.81 / $1,212.84 / $2,114.64	Professional		$812.81	$1,212.84	$2,114.64